Affordable Care Act

Enacted in 2010, the landmark Affordable Care Act (ACA) made significant reforms in ensuring health care access and delivery. It is also one of the most litigated pieces of legislation in recent history, giving the courts an unprecedented role in shaping health care in the U.S. The ACA expanded access to Medicaid and subsidized private insurance through new Health Insurance Marketplaces for tens of millions of lower and middle-income Americans. For those with private insurance, including employer-sponsored coverage, the ACA advanced new insurance protections and market reforms, such as a ban on charging more or denying coverage for pre-existing conditions and guaranteed evidence-based preventive services with no cost-sharing. The ACA also advanced sweeping nondiscrimination protections across the health care industry.

Tracked Litigation

Braidwood Management, Inc. et al. v. Xavier Becerra et al.

Status Briefing is ongoing Goal Eliminate guaranteed access to preventive services with no cost-sharing +2 additional goal(s)

State of Tennessee et al. v. Becerra et al.

Status Briefing is ongoing Court Fifth Circuit

Goal Declaration that certain conduct may not be required under Section 1557 or Title IX +2 additional goal(s)

State of Florida et al. v. U.S. Department of Health and Human Services et al.

Status Briefing is ongoing Court Eleventh Circuit

Goal Declaration that certain conduct may not be required under Section 1557 or Title IX +2 additional goal(s)

State of Texas et al. v. Becerra et al.

Status Briefing is ongoing Court Fifth Circuit Goal Declaration that regulation is unlawful +2 additional goal(s)

Benefitalign, LLC et al. v. Becerra et al.

Status Briefing is ongoing Court District of Columbia

Goal Block government from suspending participation of agents/brokers in ACA Marketplaces +1 additional goal(s)

Kansas et al. v. United States of America et al.

Status Briefing is ongoing Court North Dakota Goal Postpone effective date of regulation +1 additional goal(s)

Faulk Company, Inc. v. U.S. Department of Health and Human Services et al.

Status Briefing is ongoing Court Texas Northern Goal Declaration that regulation is unlawful +2 additional goal(s)

State of Missouri et al. v. U.S. Department of Health and Human Services et al.

Status Briefing is ongoing Court Missouri Eastern Goal Declaration that regulation is unlawful +2 additional goal(s)

State of Texas et al. v. Becerra et al.

Status Decision issued : Court Texas Eastern Goal Declaration that regulation is unlawful +2 additional goal(s)

State of Tennessee et al. v. Becerra et al.

Status Decision issued : Court Mississippi Southern

Goal Declaration that certain conduct may not be required under Section 1557 or Title IX +2 additional goal(s)

ManhattanLife Insurance and Annuity Company et al. v. U.S. Department of Health and Human Services et al.

Status Briefing is ongoing Court Texas Eastern Goal Block government from enforcing provisions of regulation +2 additional goal(s)

McComb Childrens Clinic, LTD. v. Becerra et al.

Status Decision issued Court Mississippi Southern

Goal Declaration that certain conduct may not be required under Section 1557 or Title IX +2 additional goal(s)

State of Florida et al. v. U.S. Department of Health and Human Services et al.

Status Decision issued : Court Florida Middle

Goal Declaration that certain conduct may not be required under Section 1557 or Title IX +2 additional goal(s)

Conswallo Turner et al. v. Enhance Health, LLC et al.

Status Briefing is ongoing Court Florida Southern Goal Award damages to plaintiffs

State of Texas et al. v. U.S. Department of Health and Human Services et al.

Status Decision issued Court Texas Western Goal Invalidate agency guidance +1 additional goal(s)

National Taxpayers Union et al. v. Lombardo et al.

Status Decision issued Court First Judicial District Court of Nevada Goal Declaratory and injunctive relief

American College of Pediatricians et al. v. Becerra et al.

Status Decision issued Court Sixth Circuit Goal Invalidate all or part of a federal regulation +1 additional goal(s)

HIV and Hepatitis Policy Institute et al. v. U.S. Department of Health and Human Services et al.

Status Voluntarily Dismissed Court D.C. Circuit Goal Invalidate all or part of a federal regulation +1 additional goal(s)

United States of America v. Sentara Healthcare et al.

Status Decision issued Court Virginia Western Goal Enforce compliance with Civil Investigative Demands

Duncan et al. v. Aliera Companies, Inc. et al.

Status Case settled Court California Eastern Goal Invalidate all or part of a federal regulation

American College of Pediatricians et al. v. Becerra et al.

Status Decision Issued: Appeal Filed Court Tennessee Eastern Goal Invalidate all or part of a federal regulation +1 additional goal(s)

Chinatown Service Center et al. v. U.S. Department of Health and Human Services et al.

Status Case Dismissed Court District of Columbia Goal Invalidate all or part of a federal regulation +1 additional goal(s)

National Family Planning and Reproductive Health Ass’n et al. v. Azar et al.

Status Decision Issued: Appeal Withdrawn Court New York Southern Goal Invalidate all or part of a federal regulation +1 additional goal(s)

California v. Becerra et al.

Status Decision Issued: Appeal Filed Court California Northern Goal Invalidate all or part of a federal regulation +1 additional goal(s)

City and County of San Francisco v. Becerra et al.

Status Decision Issued: Appeal Dismissed Court California Northern Goal Invalidate all or part of a federal regulation +1 additional goal(s)

City and County of San Francisco v. Becerra et al.

Status Voluntarily Dismissed Court Ninth Circuit Goal Invalidate all or part of a federal regulation +1 additional goal(s)

County of Santa Clara et al. v. U.S. Department of Health and Human Services et al.

Status Decision Issued Court California Northern Goal Invalidate all or part of a federal regulation +1 additional goal(s)

County of Santa Clara et al. v. U.S. Department of Health and Human Services et al.

Status Voluntarily Dismissed Court Ninth Circuit Goal Invalidate all or part of a federal regulation +1 additional goal(s)

Planned Parenthood Southeast et al. v. Becerra et al.

Status Voluntarily Dismissed Court District of Columbia

Goal Invalidate all or part of a federal regulation; Other: stop the government from approving Georgia's waiver under Section 1332